“Highly Situational Principles”: How The Vaccine Controversy Shows The Limits Of GOP Libertarianism
As a demonstration that anything can become political and you never know what issue is going to take over a campaign, every potential presidential candidate is now thinking very carefully about what they should say on the topic of childhood immunizations. Chris Christie kicked things off when he answered a question about a spreading measles outbreak with some comments about parental choice that he sort-of walked back, but the real news came when Rand Paul — a graduate of Duke University medical school, which I’m fairly certain is a real thing — gave an interview to CNBC in which he said, “I’ve heard of many tragic cases of walking, talking, normal children who wound up with profound mental disorders after vaccines.”
Needless to say, this is utterly bogus. What Paul should have noted was that this question has been studied exhaustively, and there is no evidence whatsoever that vaccines cause autism or any other “mental disorder.”
But if you thought that every GOP candidate would be rushing to pander to people’s fears about big government forcing them to stick needles in their kids, you’d be wrong. In fact, the ones we’ve heard from so far have been clearly pro-vaccine. And this shows just where the limits of libertarianism within the Republican Party are.
As the New York Times noted this morning, Mike Huckabee has in the past advocated that vaccines be widely used, and specifically dismissed the debunked connection to autism, while Rick Perry has also touted his administration’s efforts to increase vaccination. You’ll recall that Perry was criticized by his Republican opponents in 2012 for mandating that girls in Texas public schools receive the HPV vaccine (though he eventually reversed himself when he was convinced by other Texas conservatives that giving a 10-year-old girl a shot to prevent her from getting cervical cancer after she becomes an adult would obviously turn her into a sex maniac). Ben Carson also made clear that mandatory vaccination is critical to preventing disease, no matter what religious or philosophical objections people might have. John Boehner too said that every child should be vaccinated.
While there are a few candidates we haven’t yet heard from, it may be surprising that Paul isn’t getting more company; indeed, he’s probably surprised, given how much Republicans have talked about individual liberty in the last few years. Paul doesn’t deny that there are risks to not vaccinating children, but he says that it’s a matter of personal freedom: parents, not the government, should make the choice. However, it turns out that other Republicans don’t agree. In this case they believe that the welfare of the community trumps the individual’s right to decide.
What that tells us is that the broader Republican commitment to libertarian principles is highly situational. Libertarians laud themselves for their philosophical consistency (though Rand Paul is a quasi-libertarian at most), but ordinary conservatives are picking and choosing based on who’s getting what and who’s paying what. In the case of something like guns, where there’s an analogous situation (individuals want to make a choice that potentially endangers others), conservatives see the gun owner getting a benefit, and one many of them enjoy. When they say that companies should be released from environmental regulations, they’re thinking about people and organizations they admire getting the benefit of unconstrained market freedom, and the cost (environmental degradation) is something they’re only marginally concerned about.
But in the case of vaccines, the beneficiaries are a bunch of wackos and conspiracy theorists who are gaining nothing more than the ability to endanger their own children, at the cost of endangering everybody else’s children. And I’m guessing it also matters that a lot of the vaccine truthers who get attention are liberals, the Marin County types who think that because they feed their children organic food that the kids will have super-charged immune systems and therefore can’t become sick. (It should be noted that vaccine trutherism is a non-partisan affliction: liberals are no more likely than conservatives to think vaccines cause autism.)
What’s more, while it’s also true that advocating for vaccines requires conservatives to agree with Science, this issue isn’t like climate change, where many on the right think the entire scientific community is engaged in a vast conspiracy of deception. On climate, people fear that they’ll lose something (like their SUVs) and have to change their lifestyle in order to address the problem; the issue also threatens their traditional allies in the energy industry. There are few such considerations in the vaccine issue.
So the vaccine issue demonstrates that while nearly every Republican agrees with libertarian ideas on some issues, this doesn’t necessarily reflect just an inviolable philosophical commitment to individual liberty. When being a libertarian means getting something they want without having to give up anything they like, they’re happy to wave the anti-government flag. But if it means their kids might get sick because some people are dumb enough to take their medical advice from Jenny McCarthy, the needs of the many begin to look much more pressing than the delusions of the few.
By: Paul Waldman, Senior Writer, The American Prospect; Contributor, The Plum Line, The Washington Post, February 3, 2015
“In The Same Situation”: Mitt Romney Isn’t Running In 2016. Now What?
Three weeks after throwing the early competition for the 2016 Republican presidential nomination into chaos by announcing that he was “seriously considering” joining the race, Mitt Romney announced on Friday morning that he would not launch a third bid for the White House.
“After putting considerable thought into making another run for president, I’ve decided it is best to give other leaders in the party the opportunity to become our next nominee,” Romney told a group of staffers and supporters.
Romney’s decision was probably a good one; although he led most of his Republican rivals in the polls, that advantage was largely built on name recognition. The vulnerabilities that sank him in the 2012 general election still exist, and the conservatives who will play an outsized role in picking the 2016 nominee still distrust him. Furthermore, Romney’s plan to rebrand himself as an anti-poverty warrior would have been tough to buy, due to his longstanding reputation for flip-flopping (and his flat acknowledgement in 2012 that “I’m not concerned about the very poor”).
There are some obvious winners in the wake of his decision: Former Florida governor Jeb Bush, New Jersey governor Chris Christie, and Wisconsin governor Scott Walker will now be able to compete for the moderate-leaning, pro-business Republicans who have long favored Romney. The former Massachusetts’ governor’s staffers and donor base will now be up for grabs as well.
But Republicans still find themselves in the same situation they were in before Romney ever floated a third run: with a crowded, unsettled field.
A Public Policy Polling survey released Friday illustrates the tumultuous state of the race. It polled the Republican field both with and without Romney, and found that his staying on the sidelines leaves the GOP in a free-for-all fight for the nomination. With Romney’s supporters reallocated to their second choices, Bush leads the field with 21 percent. Former surgeon-turned-Tea Party activist Ben Carson trails with 16 percent, followed by Walker at 14 percent, former Arkansas governor Mike Huckabee at 12 percent, and Texas senator Ted Cruz at 10 percent.
In other words, it’s anyone’s game.
Republicans do have some incentive to figure things out sooner rather than later, however. On the Democratic side, Hillary Clinton appears unlikely to face a serious primary challenge, leaving her free to coast and raise money as the Republicans batter each other in their primary contests. While there’s a compelling case to be made that tough primaries make stronger candidates, that’s a scenario that Republicans would still clearly rather avoid.
By: Henry Decker, The National Memo, January 30, 2015
“He’ll Have Some Explaining To Do”: Another Republican Governor Has Accepted The Medicaid Expansion—And He Might Run For President
Indiana Governor Mike Pence announced Tuesday morning that the Obama administration had approved the state’s plan for accepting the Medicaid expansion. Starting February 1, 350,000 low-income Indianans will be enrolled in Healthy Indiana, the state’s Medicaid program. With the 2016 presidential cycle now underway, political analysts immediately are judging how Pence’s move affects his presidential odds.
The early consensus is that, if indeed Pence decides to run, this decision would cause him trouble in the GOP primary. But the issue poses a dilemma for the Republican Party more broadly, especially its hopes of recapturing the White House. As we saw during the midterms, the Medicaid expansion pits moderate Republicans versus conservatives, governors versus state legislators—and potentially undermines the party’s newfound interest in helping the poor and reducing inequality.
It’s up to governors to decide whether their state accepts the Medicaid expansion, and it’s hard to pass up. The federal government is offering states money to expand Medicaid so that people earning up to 138 percent of the federal poverty line are eligible for the program. The federal government covers all of the costs from 2014 through 2016 and then that coverage amount phases down slowly to 90 percent by 2022. Governors also face aggressive lobbying from the hospital industry, which is eager to accept the billions of dollars that the federal government transfers to states that expand Medicaid. As a result, 10 states with Republican governors have accepted the expansion over the past few years, and two more, in Tennessee and Wyoming, are considering it.
But some Republican governors have toed the party line, including two likely 2016 candidates: Wisconsin Governor Scott Walker and former Texas Governor Rick Perry both rejected the expansion. Medicaid, after all, is part of Obamacare, which must be “repealed and replaced.” That’s one reason why most potential Republican candidates—especially those in Congress, like senators Ted Cruz, Rand Paul, and Marco Rubio—are opposed to the expansion.
This makes for an interesting rift in the Republican primary.
If Pence runs for president, he’ll have some explaining to do. He would likely argue that he pushed Medicaid in a much more conservative direction through a waiver from the federal government that allows Indiana to require enrollees to contribute a monthly premium to a health savings account, a typical conservative health care idea. He would also likely appeal to his evangelical base by saying that Medicaid expansion is the compassionate thing to do. But he wouldn’t be alone in defending his decision: New Jersey Governor Chris Christie accepted the expansion, too. Not known to sidestep an issue or stay on the defensive, Christie could attack the other governors for not taking advantage of the program and hurting their poor constituents, and he might accuse Cruz et al of not understanding how governing works.
The general election is a different story altogether, which brings us to the GOP’s desire to appeal to lower-class voters.
Over the past few weeks, Republicans have begun emphasizing income inequality and stagnant wages. These are important issues, but the GOP’s economic platform still consists largely of deregulation, spending cuts, and lower taxes. That won’t appeal to the poor, particularly compared to the Democratic proposals of free community college and middle-class tax breaks.
That’s where the Medicaid expansion comes in. Denouncing it as Obamacare may work with the Republican primary electorate, but it won’t work in the general election. We saw as much in the midterms, when new Senate Majority Leader Mitch McConnell twisted himself into knots balancing his commitment to repealing Obamacare and promising not to alter the state’s health care exchange and expanded Medicaid program (both of which, of course, were the result of Obamacare). Granted, McConnell won reelection easily, but it does show how the expansion can be a political liability for Republican candidates.
If Christie or Pence emerge from the crowded field, it won’t be a problem. They can tout the expansion as evidence of their committment to fighting inequality. But the opposite is true for the rest of the field. For them, the expansion will be an even bigger liability if income inequality isn’t just Republicans’ flavor of the month, but a major part of their 2016 platform.
By: Danny Vinik, The New Republic, January 27, 2015
“Let’s Go Inside His Head”: The True Confessions Of Mitt Romney
Say you’re Mitt Romney, and you still can’t believe you lost the 2012 election. You’ve been aiming barbs at President Obama and sending heartwarming Christmas cards featuring your large family. In 2014, you star in a flattering documentary and post charming photos of your hike through the Mountain West with five of your 22 grandchildren. When asked whether you will make a third try for the White House, you and your wife say absolutely not, many times in many ways.
And then suddenly you’re giving off definitive “let’s do this thing” vibes: telling donors you will almost certainly run, calling former allies and aides, adding yourself to the program at the Republican National Committee meeting in San Diego and inviting conservative radio host Laura Ingraham to an “off the record” lunch at a ski resort in Utah, after which she tells The Washington Post you were “fully engaged and up to speed,” and seemed no longer content to be “just a passive player in American politics.”
So what catapulted you off the sidelines? Jeb Bush’s forceful entry into the emerging field was the spark. But you’ve been reconsidering for a while, looking at the other establishment favorites and wondering why the heck not. It’s not like you’re too old. The baby boom generation is still clogging up the runway. At 67, you’re about the same age as Hillary Clinton and not all that much older than Jeb, who will be 62 next month. As for old news, you’re practically a fresh face compared with Clinton, who has been in the news nonstop for more than two decades. And seriously, how damaging is a third grab for the ring when your competition is the third guy in his family to run?
What else is Romney thinking? Let’s go inside his head.
New Jersey Gov. Chris Christie’s tendency to erupt at people was fun for a while and raised lots of money, he muses. But I can raise money, too. And while I’m kind of awkward sometimes, I’m pretty sure voters won’t want a president who gets into public screaming matches. Not that I hold a grudge against Christie, even though his 2012 convention keynote was much more about him than me. But what makes him think people are going to disregard eight downgrades in his state’s credit rating, a poor job-creation performance or investigations into Bridgegate, the five-day traffic nightmare that punished a Democratic mayor? I certainly won’t.
It’s impressive, yes, that Gov. Scott Walker took on unions and has won three Wisconsin elections in six years. But would voters really pick this untested young candidate over the man who saved the 2002 Olympics and countless floundering businesses? (That would be me). And does Walker have the presence and skills to dominate a national race? I’ve already proven I can crush a sitting president in a debate.
And don’t get me started on Jeb and his family: his father’s reversal on his no-new-taxes pledge; his brother’s wars, deficits and intrusive federal education law; and his own support for comprehensive immigration reforms and Common Core education standards. All I did was sign “Romneycare” when I was governor of Massachusetts. I’ve already denied that it was the model for Obamacare. I’ve already said no other state should be required to do what I did. I’ve already said the federal law should be repealed. Problem solved.
I want to pause here to thank my good friend, the conservative radio host Hugh Hewitt, for his advice on how to deal with that time I dismissed 47 percent of the country as moochers who are dependent on government, believe they are victims, and will never take responsibility for their lives. Hewitt is right, everyone makes mistakes. Look at Hillary’s “we were broke when we left the White House” gaffe; Rick Perry’s “oops” moment when he forgot the third federal agency he wanted to eliminate; and Jeb’s description of illegal immigration as an “act of love” by people trying to give their families better lives. I never pretend to be poor, and I don’t start lists I can’t finish. Maybe I went a bit too far with the “self-deportation” business on immigration. You won’t hear me use that phrase again.
Above all, I won’t forget that a lot of those 47-percenters are veterans, seniors, low-income workers, the disabled and people searching desperately for jobs. And I won’t forget that a lot of them vote Republican — even for me! I won the seniors and the veterans, and I nearly won the union vote. I’m not only going to remember these folks, I’m going to focus my next campaign on opportunity and upward mobility. Wait, what do you mean, Jeb already named his political action committee Right to Rise, and stole the phrase — with permission — from my own 2012 running mate?
Back to the drawing board for the third round. I know the right message is out there somewhere.
By: Jill Lawrence, Creative Writers Syndicate; The National Memo, January 15, 2015
“Where Have Ebola’s Fear-Mongers All Gone?”: The One Word You Haven’t Heard A Politician Say Since Election Day
Only two months ago, many Americans were gripped by fear of the uncontrollable spread of an apparently incurable disease that the Centers for Disease Control and Prevention projected could strike 1.4 million people in West Africa before it came under control.
Amid such reports, it took only one case to touch off near-panic inside the United States: that of Liberian Thomas Eric Duncan after he was misdiagnosed by a Dallas hospital.
In the weeks that followed Duncan’s death, state and local governments reacted — and sometimes overreacted. Several schools barred teachers and children who had visited African countries that were nowhere near the epidemic. In Maine, a teacher was put on leave because she had visited Dallas.
And then election-year politics kicked in.
Members of Congress, mostly Republicans, warned that Ebola could be carried into the country by illegal immigrants or even terrorists, and demanded a ban on travelers entering the United States from the affected countries. Governors scrambled to draft quarantine regulations, producing a showdown between Gov. Chris Christie of New Jersey and a nurse he tried to confine to a tent. (The nurse won.)
And now? The crisis is all but forgotten. We’ve moved on.
The epidemic is ebbing in Liberia, but still spreading in Sierra Leone. The World Health Organization estimates there have been about 18,000 cases, including more than 6,300 deaths: tragic numbers, but far below the apocalyptic scenario once predicted.
Only four cases of the disease have been diagnosed in the United States, two of them in people who contracted the disease in West Africa. And we’ve learned that when Ebola is identified early, in a country with a functioning healthcare system, the disease is treatable after all.
“What’s the one word you haven’t heard a politician say since Election Day?” Democratic strategist James Carville asked me a few weeks ago. “Ebola!”
I’m not blaming ordinary people for reacting as they did to a deadly epidemic they’d been told was difficult to stop.
I’m not even blaming governors who scrambled to impose quarantines to stop the spread of a disease they didn’t know much about. Their job was to protect their citizens. And when they discovered that their initial reactions might have been too broad, they pared them back — even Chris Christie.
It’s worth remembering, as well, that the Obama administration initially did a ham-handed job of mastering the crisis. Dr. Thomas Frieden of the CDC started out by assuring the country that the situation was under control — even though it wasn’t, at first.
But there is one list of politicians who still deserve a measure of scorn: the ones who fanned fear for fear’s sake.
This week, those politicians shared in an award they probably didn’t want: the annual “Lie of the Year” prize conferred by PolitiFact, the fact-checking arm of the Tampa Bay Times. They won, the paper said, because they deliberately “produced a dangerous and incorrect narrative” about an important global problem.
Before you dismiss that as another liberal media attack on the GOP, consider this: Last year’s PolitiFact winner for “Lie of the Year” was President Obama, for his promise that under his 2010 healthcare law, “if you like your healthcare plan, you can keep it.”
The politicians mentioned in this year’s citation included Sen. Rand Paul (R-KY), an ophthalmologist who may run for president.
His advice on Ebola included this warning: “This is an incredibly contagious disease. People in full gloves and gowns are getting it.”
Well, no, as thousands of medical workers in Africa can testify — not when true precautions are in place.
“This is something that appears to be very easy to catch,” Paul added. “If someone has Ebola at a cocktail party, they’re contagious and you can catch it from them.”
Theoretically true — but only if your cocktail party acquaintance is emitting fluids in your direction; Ebola can’t be transmitted by air.
Then there was Rep. Phil Gingrey (R-GA), another physician, who managed to combine two hot-button issues, Ebola and immigration. Gingrey announced that he had received “reports of illegal migrants carrying deadly diseases such as swine flu, dengue fever and Ebola.”
Other members of Congress speculated that terrorists might infect themselves, sneak into the United States and try to spread the disease in crowded places. PolitiFact carefully said it couldn’t count that as a lie, since it was mere speculation.
But it was surely intended to increase fear. And fear is a powerful emotion, much easier to provoke than to ease.
So now that the acute fear of Ebola has ebbed, we should pause for a moment to thank some Americans who didn’t panic — and, more important, even did something to bring the epidemic closer to an end: the courageous relief workers who went to Africa, not knowing whether they’d be allowed to return home, relief workers that included roughly 3,000 U.S. military personnel who accepted deployment to Liberia as part of their jobs, and whose clinic-building mission will be complete soon. And yes, even those politicians, beginning with President Obama, who didn’t panic.
By: Doyle McManus, Los Angeles Times (TNS); The National Memo, December 18, 2014
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